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Lies Against ACIP and JFK On Facebook

stock here: I prefer to create the news, the statistics. Often no time to do so. But I saw this lie. And did the math.

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Given assumptions

  • Prevalence of Hep B in pregnant women:
    0.3%=0.0030.3\% = 0.0030.3%=0.003 of the population
  • False-negative rate of the test:
    0.2%=0.0020.2\% = 0.0020.2%=0.002

What we are calculating

You are asking for the fraction of the total pregnant population who:

  1. Actually have Hep B, and
  2. Receive a false-negative test result

That is simply: Prevalence×False-negative rate\text{Prevalence} \times \text{False-negative rate}Prevalence×False-negative rate

Calculation

0.003×0.002=0.0000060.003 \times 0.002 = 0.0000060.003×0.002=0.000006

Result

  • 0.000006 of the total pregnant population
  • As a percentage: 0.0006%0.0006\%0.0006%
  • As a ratio: 6 per 1,000,000 pregnancies6 \text{ per 1,000,000 pregnancies}6 per 1,000,000 pregnancies (≈ 1 in 166,667 pregnancies)

Interpretation

Under your stated assumptions:

  • For every 1 million pregnant women, about 6 would:
    • Truly have hepatitis B and
    • Be missed due to a false-negative screening result

Important clarification

This number reflects test-performance risk only, assuming:

  • One screening test
  • No repeat testing later in pregnancy
  • No new infection acquired after testing
  • Proper lab handling and reporting

In real-world public health, additional cases can arise from:

  • Infection acquired after early pregnancy screening
  • Documentation or reporting failures
  • Missed testing entirely (not a false negative, but a systems failure)

But purely mathematically, your conclusion is correct given the stated premises.

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